Individual provider Active NPI

Mubashir Ahmad Farooqi, M.D.

  • Psychiatry Physician
  • Victorville, CA
National Provider Identifier
1902858194
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A56486 Issued in CA
Practice address
12625 Hesperia Rd
Victorville, CA 92395-7720
Phone
(760) 955-1777
NPI assigned
May 16, 2006
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A56486 CA Primary

Addresses

Primary practice location

12625 Hesperia Rd
Victorville, CA 92395-7720

Mailing address

855 N Euclid Ave
Ontario, CA 91762-2729
Phone (909) 983-2020

Other practice location 1

1200 California St
Redlands, CA 92374-2945
Phone (909) 792-6262

Other practice location 2

855 N Euclid Ave
Ontario, CA 91762-2729
Phone (909) 983-2020

Other identifiers 1

IdentifierTypeStateIssuer
A56486MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040223000671 CA Practitioner - Psychiatry 0648166223 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of San BernardinoGroup PAC ID 3870499130, 76 clinicians
West End Family Counseling ServiceGroup PAC ID 6709813280, 2 clinicians

Practice addresses (Care Compare)

12625 Hesperia Rd
Victorville, CA 92395-7720
Phone (760) 955-1777

855 N Euclid Ave
Ontario, CA 91762-2729
Phone 90998320202231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56486CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Jul 1, 1999 Accepting new patients
Department of State Hospitals Current Accepting new patients
County of San Bernardino Current Accepting new patients
Department of State Hospitals CurrentSince Jul 1, 1999 Accepting new patients
County of San Bernardino CurrentSince Apr 1, 2025 Accepting new patients
County of San Bernardino CurrentSince Apr 1, 2025 Accepting new patients
West End Family Counseling Service CurrentSince Feb 1, 2016 Accepting new patients

Locations

855 N Euclid Ave
Ontario, CA 91762
Phone (909) 983-2020

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801

12625 Hesperia Rd
Victorville, CA 92395
Phone (760) 955-1777

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1902858194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N EUCLID AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917622729",
            "telephone_number": "909-983-2020",
            "fax_number": "909-983-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957720",
            "telephone_number": "760-955-1777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 California St",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742945",
            "country_code": "US",
            "telephone_number": "909-792-6262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 N Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917622729",
            "country_code": "US",
            "telephone_number": "909-983-2020",
            "fax_number": "909-983-6847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQI",
        "first_name": "MUBASHIR",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A56486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A56486",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.